Training of Cadres and Volunteers to Support Tuberculosis Elimination in Kutalimbaru Village, Deliserdang Regency

Authors

  • Efendi Sianturi Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
  • Elisabeth Surbakti Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
  • Maida Pardosi Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
  • Julietta Hutabarat Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia

DOI:

https://doi.org/10.33394/jpu.v7i3.21252

Keywords:

TB elimination, training, tuberculosis, Community Empowerment, Participatory Action Research

Abstract

This community service activity aims to improve the knowledge, attitudes, and practices of community health cadres and volunteers regarding tuberculosis (TB) prevention and control. The program involved 30 cadres and volunteers from Kutalimbaru Village, Deli Serdang Regency, North Sumatra, Indonesia, and was conducted at the Kutalimbaru Village Head’s Office. A Participatory Action Research (PAR) approach was employed through community engagement and participant recruitment, data collection and needs assessment, training sessions, distribution of TB educational pocketbooks, and evaluation using pre-test and post-test questionnaires. The data were analyzed descriptively using frequency and percentage distributions, and participants’ pre-test and post-test results were compared across knowledge, attitude, and practice categories. Before the intervention, the majority of participants demonstrated insufficient levels of knowledge (83.33%), attitudes (83.33%), and practices (80.00%). Following the intervention, 96.67% of participants achieved a good level of knowledge, while 93.33% attained good levels of attitudes and practices. The program also established the “Great Cadres and Volunteers, Together to Eliminate TB” group as community-based agents for TB education and support. Overall, the findings indicate that structured and interactive training supported by practical educational materials effectively strengthens the readiness of community health cadres and volunteers to provide TB education, encourage early case detection, promote treatment adherence, and reduce TB-related stigma within the community. Integrating trained cadres and volunteers into village health programs, supported by continuous mentoring and regular monitoring, has the potential to strengthen sustainable community-based TB prevention and control initiatives.

References

Afif, M. S., & Fatah, M. Z. (2024). Hubungan Kepadatan Hunian Dan Pencahayaan Alami Rumah Terhadap Kejadian Tuberkulosis Paru: Tinjauan Literature. Jurnal Kesehatan Tambusai, 5(2), 4948–4956.

Andriani, D., & Sukardin, S. (2020). Pengetahuan dan Sikap Keluarga Dengan Pencegahan Penularan Penyakit Tuberculosis (TBC) Di Wilayah Kerja Puskesmas Penana’e Kota Bima. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(03), 72–80. https://doi.org/10.33221/jiiki.v10i03.589

Asrina, A., Sundari, S., & Alim, A. (2024). Pengaruh Pelatihan TB PARU Terhadap Kemampuan Kader Dalam Deteksi Dini dan Penemuan Kasus Baru TB Paru Di kabupaten bulukumba TAHUN 2024: MAGISTER KESEHATAN MASYARAKAT PASCASARJANA UNIVERSITAS MUSLIM INDONESIA MAKASSAR. Jurnal Berita Kesehatan, 17(1), 50–60.

Baum, F., MacDougall, C., & Smith, D. (2006). Participatory action research. Journal of Epidemiology and Community Health, 60(10), 854.

Boy, E. (2015). Efektifitas pelatihan kader kesehatan dalam penanganan tuberkulosis di Wilayah Binaan. Jurnal Pendidikan Kedokteran Indonesia, 4(2), 83–89.

Dinkes Sumut. (2024). Profil kesehatan provinsi sumatera utara. In profil kesehatan provinsi sumatera utara tahun 2023.

Ekawati, C. J. K., Singga, S., & Mauguru, E. (2022). Faktor risiko perokok dan alkoholik terhadap penderita penyakit TBC. Nursing Udate, 13(4), 294–300.

Eom, J. S., Kim, I., Kim, W.-Y., Jo, E.-J., Mok, J., Kim, M.-H., Lee, K., Kim, K. U., Park, H.-K., & Lee, M. K. (2018). Household tuberculosis contact investigation in a tuberculosis-prevalent country: Are the tuberculin skin test and interferon-gamma release assay enough in elderly contacts? Medicine, 97(3), e9681.

Gopalaswamy, R., Shanmugam, S., Mondal, R., & Subbian, S. (2020). Of tuberculosis and non-tuberculous mycobacterial infections–a comparative analysis of epidemiology, diagnosis and treatment. Journal of Biomedical Science, 27, 1–17.

Haag, D., Carrozzo, E., Pannicke, B., Niebauer, J., & Blechert, J. (2023). Within-person association of volitional factors and physical activity: Insights from an ecological momentary assessment study. Psychology of Sport and Exercise, 68, 102445. https://doi.org/10.1016/j.psychsport.2023.102445

Hagger, M. S., & Hamilton, K. (2025). Progress on theory of planned behavior research: advances in research synthesis and agenda for future research. Journal of Behavioral Medicine, 48(1), 43–56. https://doi.org/10.1007/s10865-024-00545-8

Indonesia, P. R. (2021). Peraturan Presiden Nomor 67 tahun 2021 tentang Penanggulangan Tuberkulosis. Kementerian Kesehatan Re, 67(069394), 107.

Islam, K. F., Awal, A., Mazumder, H., Munni, U. R., Majumder, K., Afroz, K., Tabassum, M. N., & Hossain, M. M. (2023). Social cognitive theory-based health promotion in primary care practice: A scoping review. Heliyon, 9(4). https://doi.org/10.1016/j.heliyon.2023.e14889

Ismawati, I., Saryono, S., Mukhyarjon, M., Pahlevi, R., Zikra, I. F., Sari, R. P., Putri, H., Erlangga, E., Nanda, L. M., & Arenja, R. T. (2023). Pelatihan Pencegahan Tuberkulosis pada Kader Posyandu dan Tokoh Masyarakat di Desa Kasang Limau Sundai, Kuantan Singingi. Unri Conference Series: Community Engagement, 5, 105–110.

Kusyani, A., & Vidhiastutik, Y. (2024). Pemberian Edukasi Untuk Meningkatkan Pengetahuan Keluarga Penderita Tb Paru Di Wilayah Kerja Puskesmas Peterongan Kabupaten Jombang. Journal of Health Innovation and Community Service, 3(1), 108–112.

Lalla, N. N., & Arda, D. (2022). Pemberdayaan Masyarakat dalam Upaya Pencegahan Penyakit Tuberculosis Paru. Abdimas Polsaka, 1(1), 12–15.

Liebenberg, D., Gordhan, B. G., & Kana, B. D. (2022). Drug resistant tuberculosis: Implications for transmission, diagnosis, and disease management. Frontiers in Cellular and Infection Microbiology, 12, 943545.

Maksuk, M., Amin, M., & Yusneli, Y. (2025). PENGETAHUAN, SIKAP DAN TANGGAPAN KADER SEBELUM DAN SETELAH DIBERIKAN EDUKASI SKRINING TUBERKULOSIS DI KOTA PALEMBANG. JURNAL PENELITIAN TERAPAN KESEHATAN, 12(1), 34–42.

Migliori, G. B., Ong, C. W. M., Petrone, L., D’Ambrosio, L., Centis, R., & Goletti, D. (2021). The definition of tuberculosis infection based on the spectrum of tuberculosis disease. Breathe, 17(3).

Mulyati, M., Winarni, L. M., & Ratnasari, F. (2020). Pengaruh Pendidikan Kesehatan Tuberkulosis terhadap Pengetahuan Kader Tentang Tuberkulosis Paru: A Literature Review. Menara Medika, 2(2).

Musa, A. R. I. P. (2023). Upaya Kader Posyandu Sakura Dalam Pemberdayaan Kesehatan Masyarakat Di Kelurahan Gunung Sulah Way Halim Bandar Lampung. UIN RADEN INTAN LAMPUNG.

Notoatmodjo, S. (2012). Promosi Kesehatan, Teori dan Aplikasi. Jakarta: Rienka Cipta. Rumah Sakit Roemani Semarang.

Organization, W. H. (2019). Global action plan on physical activity 2018-2030: more active people for a healthier world. World Health Organization.

Organization, W. H. (2020). Laboratory testing for 2019 novel coronavirus (2019-nCoV) in suspected human cases: Interim guidance, 17 January 2020. World Health Organization.

Organization, W. H. (2022). WHO consolidated guidelines on tuberculosis. Module 4: treatment-drug-resistant tuberculosis treatment, 2022 update. World Health Organization.

Organization, W. H. (2023). Strategic framework for the comprehensive prevention and control of cervical cancer in the Western Pacific Region 2023-2030.

Putri, V. S., Apriyali, A., & Armina, A. (2022). Pengaruh Pendidikan Kesehatan terhadap Pengetahuan dan Tindakan Keluarga dalam Pencegahan Penularan Tuberkulosis. Jurnal Akademika Baiturrahim Jambi, 11(2), 226–236.

RI, K. K. (2023). Laporan Program Penanggulangan Tuberkulosis Tahun 2022.

Saraswati, A., & Lubis, D. S. (2020). Partisipasi Masyarakat Dalam Upaya Kesehatan Bersumberdaya Masyarakat Untuk Meningkatkan Germas Di Desa Gunaksa. Arch. Community Heal, 7(2).

Septiani, F., Pohan, S. D., Ginting, H. B., Sinurat, L. N., Sinaga, M. T., & Pangaribuan, W. K. (2025). Analisis Faktor Risiko Yang Berkontribusi Terhadap Kejadian Tuberkulosis Paru di Masyarakat: Studi Epidemiologis Dan Implikasinya Dalam Pencegahan. Polygon: Jurnal Ilmu Komputer Dan Ilmu Pengetahuan Alam, 3(2), 32–43.

Solihin, S., & Alifah, L. (2021). Faktor predisposisi, pencegahan dan perilaku sembuh pasien tuberkulosis paru. Jurnal Health Sains, 2(7), 956–965.

Sonoyati, E., Junadi, P., & Jito, A. (2024). STRATEGI 5T DALAM PERCEPATAN ELIMINASI TBC DI KOTA BEKASI. PREPOTIF: JURNAL KESEHATAN MASYARAKAT, 8(2), 2837–2850.

Umniyati, H., Syarip, A., & Subandiyah, I. D. (2025). Pelatihan Kader Komunitas dalam Penanggulangan Tuberkulosis (TBC) di Jakarta Selatan. Smart Dedication: Jurnal Pengabdian Masyarakat, 2(1), 130–137.

Verma, A., Singh, V., Singh Chouhan, A. P., & Dutt, P. K. (2024). TUBERCULOSIS: SYMPTOMS, DIAGNOSIS AND THE FIGHT AGAINST DRUG RESISTANCE. Biochemical & Cellular Archives.

WHo, U. (2023). Unfpa. Geneva: WHO, 2.

Yanti, S., Syamsualam, S., & Ahri, R. A. (2022). Efektifitas Strategi Directly Observed Treatment Shortcourse (DOTS) Dalam Penanggulangan Penyakit Tubercolosis: Effectiveness of Directly Observed Treatment Shortcourse (DOTS) Strategy in Tuberculosis Treatment. Journal of Muslim Community Health, 3(1), 33–42.

Downloads

Published

2026-08-09

How to Cite

Sianturi, E., Surbakti, E., Pardosi, M., & Hutabarat, J. (2026). Training of Cadres and Volunteers to Support Tuberculosis Elimination in Kutalimbaru Village, Deliserdang Regency . Jurnal Pengabdian UNDIKMA, 7(3), 924–934. https://doi.org/10.33394/jpu.v7i3.21252

Issue

Vol. 7 No. 3 (2026): August

Section

Articles

Citation Check

License

Copyright (c) 2026 The Author(s)

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal. 
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).